Active NPI
Sarah Charmaine Payne, D.D.S.
- General Practice Dentistry
- Texarkana, TX
National Provider Identifier
1174836159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 25521
- Practice address
- 5813 Independence Cir
Texarkana, TX 75503-0997 - Phone
- (903) 276-5749
- NPI assigned
- Jul 20, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 25521 | TX | Primary |
Addresses
Primary practice location
5813 Independence Cir
Texarkana, TX 75503-0997
Mailing address
5813 Independence Cir
Texarkana, TX 75503-0997
Phone (903) 276-5749
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25521 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430352000000",
"number": "1174836159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5813 INDEPENDENCE CIR",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755030997",
"telephone_number": "903-276-5749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5813 INDEPENDENCE CIR",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755030997",
"telephone_number": "903-276-5749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "SARAH",
"middle_name": "CHARMAINE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-20",
"last_updated": "2015-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "25521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.